EFTA Document EFTA01360393

Page 8 License Type: License Class: Attention Flags: Issue Date: Expiration Date: DUPLICATE PROVISIONAL LICENSE Valid for single unit vehicles designed to carry less than 15 passengers with a GVW less than26000 Ibs; vehicle combinations with a GVW less than 26000 Ibs; farm trucks: fire trucks and emergency equipment or personal recreational equipment. ORGAN DONOR Additional Driver Information DOB: Gender: Female History: Historical Height: Weight: 7: Driver License Name: Address: Data source: Governmental: Personal Information SSN: DOB: Gender: Height: Weight: License Type: License Class: Attention Flags: Issue Date: Expiration Date: License Information PROVISIONAL LICENSE (MINOR) Valid for single unit vehicles designed to carry less than 15 passengers with a GVW less than26000 Ibs: vehicle combinations with a GVW less than 26000 Ibs; farm trucks: fire trucks and emergency equipment or personal recreational equipment. ORGAN DONOR Additional Driver Information DOB: Gender: Female History: Height: Weight: 8: Driver License Driver Information Name: Address: Data source: Non-Governmental Personal Information SSN: DOB: License Information License Type: NO CLASS - USED FOR PERMITS License Class: NO CLASS - USED FOR PERMITS Additional Driver Information For internal use only CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0048711 CONFIDENTIAL SDNY_GM_00194895 DOB: EFTA01360393